Organization Active NPI

Brooklyn Comprehensive Care Center Inc.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1154355105
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
217079 Issued in NY
Legal business name
BROOKLYN COMPREHENSIVE CARE CENTER INC.
Practice address
7608 Bay Pkwy Ste BC
Brooklyn, NY 11214-1572
Phone
(718) 333-2500
Fax
(718) 265-2714
NPI assigned
Jul 10, 2006
Last updated
Feb 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Arkady Starovoyt
Title
Administrator
Phone
(718) 333-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 217079 NY Primary

Addresses

Primary practice location

7608 Bay Pkwy Ste BC
Brooklyn, NY 11214-1572

Mailing address

7608 Bay Pkwy Ste BC
Brooklyn, NY 11214-1572
Phone (718) 333-2500

Other identifiers 1

IdentifierTypeStateIssuer
02577815MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050329000976 NY Part B Supplier - Clinic/Group Practice 9830148279 Receives reassigned benefits from 44 practitioners
Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0993397Brooklyn Comprehensive Care Center Inc7608 Bay Parkway - Suite B & C, Brooklyn, NY 11214Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1154355105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7608 BAY PKWY STE BC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141572",
            "telephone_number": "718-333-2500",
            "fax_number": "718-265-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7608 BAY PKWY STE BC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141572",
            "telephone_number": "718-333-2500",
            "fax_number": "718-265-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN COMPREHENSIVE CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "STAROVOYT",
        "authorized_official_first_name": "ARKADY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-333-2500"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "217079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02577815",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.